Yoshino K
Department of Surgery, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan.
Nihon Geka Gakkai Zasshi. 2000 Dec;101(12):855-60.
The successful surgical treatment of gastric cancer in 1881 was a breakthrough not only in gastric but also in digestive surgery. By the beginning of the 20th century, the modalities of gastric surgery had almost reached the present level. At that time, the successful resection rate was 20% and mortality rate 50% in patients undergoing gastrectomy for cancer. During the 30 years after World War II, the extent of gastric resection increased, lymphadenectomy was introduced, and the number of concomitant resections of organs in addition to the stomach also increased. Since the 1980s, modified surgery has been performed in patients with early-stage gastric cancer. Based on data collected by the Japanese Research Society for Gastric Cancer, the current resection rate is 91.3%, mortality rate 1.0%, and 5-year survival rate 71.6% in patients with gastric cancer.
1881年胃癌手术治疗的成功不仅是胃癌手术，也是消化外科手术的一项突破。到20世纪初，胃癌手术方式几乎达到了目前的水平。当时，接受胃癌胃切除术的患者成功切除率为20%，死亡率为50%。第二次世界大战后的30年里，胃切除范围扩大，引入了淋巴结清扫术，除胃之外的器官联合切除术数量也增加了。自20世纪80年代以来，对早期胃癌患者进行了改良手术。根据日本胃癌研究学会收集的数据，目前胃癌患者的切除率为91.3%，死亡率为1.0%，5年生存率为71.6%。
